| Cognitive Behavioral Clinic Llc | |
|
9403 Highway 707 Suite B Myrtle Beach SC 29588-7758 | |
| (843) 450-0636 | |
| (843) 215-4561 |
| Full Name | Cognitive Behavioral Clinic Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9403 Highway 707, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | James Edmond Garvey (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8434500636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Behavioral Clinic Llc 9403 Highway 707 Suite B Myrtle Beach SC 29588-7758 Ph: (843) 450-0636 | Cognitive Behavioral Clinic Llc 9403 Highway 707 Suite B Myrtle Beach SC 29588-7758 Ph: (843) 450-0636 |
| NPI Number | 1013316918 |
|---|---|
| Provider Enumeration Date | 08/15/2014 |
| Last Update Date | 08/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013316918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4121 (South Carolina) | Primary |
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